Racial Comparisons of Diabetes Care and Intermediate Outcomes in a Patient-Centered Medical Home

Diabetes Care: November 19, 2013

OBJECTIVE To assess racial differences in diabetes processes and intermediate outcomes of care in an internal medicine, patient-centered medical home (PCMH) group practice.

RESEARCH DESIGN AND METHODS We conducted a retrospective cohort study of 1,457 adults with diabetes receiving care from 89 medical providers within a PCMH-designated, academic practice between July 1, 2009 and July 31, 2010. We used mixed-models to assess independent associations between patient race (non-Hispanic white or black) and 1) receipt of processes of care (A1C and LDL testing, foot and retinal examination, and influenza and pneumococcal vaccination) and 2) achievement of intermediate outcomes (LDL<100mg/dL, BP<140/90mmHg, A1C<7.0% [<53mmol/mol] and A1C>9.0% [>75mmol/mol]), controlling for sociodemographic factors, health status, treatment intensity and clinical continuity. Read More